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diagnosis adrenal insufficiency stimulation acromegaly ai causes differential laboratory perioperative preop preoperative risk stratification test workup
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm ACTH-Dependent (Secondary): • Pituitary Dysfunction • Hypothalamic Dysfunction ACTH-Independent (Primary):
ACTH-Dependent ... Secondary): • Pituitary ... Dysfunction • ... ACTH-Independent ... #Causes #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm Step 1) Screening Test: 6-8AM Cortisol Level - Early morning cortisol levels
Insufficiency - Algorithm ... require Cosyntropin testing ... . problem with pituitary ... Insufficiency #Algorithm ... #Stimulation #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... - Evaluation of ... then go to stim testing ... Insufficiency #Diagnosis #Algorithm ... #Test #Endocrinology
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
secretion because the dysfunctional ... hypothalamus or pituitary ... Insufficiency #Evaluation ... laboratory #diagnosis #testing ... #endocrinology
Acromegaly Testing Algorithm INDICATIONS FOR TESTING: • Adults – enlarged facial or acral features, abnormal musculoskeletal growth
Algorithm INDICATIONS ... gland and consider evaluation ... of other pituitary ... #Algorithm #diagnosis ... #endocrinology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... Performance thorough ... event, follow ACC algorithm ... with valvular dysfunction ... or LV dysfunction
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